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The use of the word "biological" (and its abbreviation "bio") is just as impractical as the word "genetic." Whenever I hear someone refer to cissexuals as being "biological" women and men I usually interject that, despite the fact that I am a transsexual, I am not inorganic or nonbiological in any way. If I press people to further define what they mean by "biological," they'll often say that the word refers to people who have a fully functioning reproductive system for their sex. Well, if that's the case, then what about people who are infertile or who have their reproductive organs removed as the result of some medical condition? Are those people not "biological" men and women? People often insist that "biological" refers to someone's genitals, but I would ask them how many people's genitals they have ever seen up close. Ten? Twenty? A hundred? And in the vast majority of instances where we meet somebody who is fully dressed (and therefore their genitals are hidden), how do we know whether to refer to them as "she" or "he"? The truth is, when we see other people and classify them as either female or male, the only biological cues we typically have to go on are secondary sex characteristics, which are themselves the products of sex hormones, That being the case, as someone who has had estrogen in her system for five years now, shouldn't I be considered a "biological" woman?

Ah yes, the 5 love languages: